Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.43 / $3,810.00 / $18,711.00	Facility		$339.43	$3,810.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,314.34 / $14,338.22	Facility		$55.00	$9,314.34	$14,338.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $4,443.08	Facility		$500.00	$870.49	$4,443.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $209.10 / $407.74 / $3,896.44	Facility		$209.10	$407.74	$3,896.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $262.64 / $359.12 / $371.18	Facility		$262.64	$359.12	$371.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.07 / $608.39 / $2,328.38	Facility		$245.07	$608.39	$2,328.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,037.75 / $10,846.90 / $20,760.75	Facility		$7,037.75	$10,846.90	$20,760.75
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $6,857.00	Facility		$650.00	$1,120.00	$6,857.00